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MIDIAN AMBO
NPI 1598323370
Pediatrics in Tampa, FL

Active since June 05, 2019PECOS Enrolled
3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2026, Aug 9, 2023, Jul 17, 2023 and 1 more (4 updates tracked since 2019).

About Midian Ambo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDIAN AMBO (NPI 1598323370) is an individual pediatrics provider in Tampa, Florida, licensed in California (ME182600) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598323370
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMIDIAN AMBO
Location Address3100 E FLETCHER AVETampa, FL 33613-4613
Mailing Address3100 E Fletcher AveTampa, FL 33613-4613 · (813) 971-6000
Phone(813) 971-6000
Sole ProprietorNo
Enumeration DateJune 5, 2019
Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1598323370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · ME182600
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3100 E FLETCHER AVE, Tampa, FL 33613
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midian Ambo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Midian Ambo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
1,989 mi
Transplant Surgery
2020 WELLNESS WAY, STE 506
Las Vegas, NV 89106
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1124560214 (909) 558-3636
Sac Health System
2,034 mi
Federally Qualified Health Center (FQHC)
84110 MANILA AVE # B
Indio, CA 92201
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1386299204 (909) 382-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEANOR INNOCENT DPT
Physical Therapist
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 615-7200
TYLER CHRISTIAN MILLS DO
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
ALEXIS CREWS SA-C
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 615-7030
JOSUE PIERRE
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
STEPHANIE RAY KING
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
DR. JONEH MARHEFKA DO
Student in an Organized Health Care Education/Training Program
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
TIMOTHY MICHAEL FABER ARNP
Nurse Practitioner
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
LARRY L LAND MD
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midian Ambo's NPI number?

The NPI number for Midian Ambo is 1598323370. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Midian Ambo located?

Midian Ambo practices at 3100 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (813) 971-6000.

What is Midian Ambo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Midian Ambo enrolled in Medicare?

Yes. Midian Ambo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Midian Ambo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Midian Ambo reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Las Vegas, NV) and Sac Health System (Indio, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Midian Ambo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Midian Ambo was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.